Ações do enfermeiro no tratamento e controle do biofilme em pessoas com feridas crônicas

Giulia da Cunha Novais; Euzeli da Silva Brandão

Autores/as

Giulia da Cunha Novais Universidade Federal Fluminense – Niterói (RJ), Brazil https://orcid.org/0000-0003-3974-0762 (no autenticado)
Euzeli da Silva Brandão Universidade Federal Fluminense – Niterói (RJ), Brasil. https://orcid.org/0000-0001-8988-8103 (no autenticado)

Resumen

Objetivo: Mapear las acciones de enfermería relacionadas con el control y tratamiento del biofilm en personas con heridas crónicas. Método: Revisión de alcance según la recomendación del Instituto Joanna Briggs (JBI). La búsqueda se realizó en cuatro bases de datos y en Google Scholar como fuente de literatura gris, utilizando como criterios de inclusión los CCP: Participantes: Personas con heridas crónicas; Concepto: Biopelículas en heridas crónicas; Contexto: Cuidados de enfermería, sin restricciones de idioma ni recorte temporal. Se identificaron 572 publicaciones y, tras aplicar los criterios de elegibilidad por dos revisores independientes, se incluyeron 20 en la revisión. Resultados: Los estudios seleccionados fueron publicados entre 2006 y 2021, predominando el idioma inglés, siendo nueve revisiones narrativas, dos ensayos clínicos aleatorizados y solo una revisión sistemática. Entre las acciones de tratamiento y control se destacan las técnicas de desbridamiento y el uso de productos como la polihexametilenbiguanida, plata y yodo, además de la terapia de presión negativa y el ultrasonido. Conclusión: Las actuaciones reseñadas se centran en la herida, sin favorecer una valoración integral de la persona. Dadas las características de las publicaciones, es necesaria una investigación con evidencia científica robusta y con un enfoque más amplio.

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